A.P. GIANNINI M.S. STEP UP REGISTRATION - MAY 30- JUNE 2, 2017
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Last Name
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Student First Name
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Date of Birth
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Home Language
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Home Address / Apt #
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City
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Zip Code
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Parent Name
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Home Phone
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Cell Phone
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Emergency Contact Name
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Emergency Contact Cell Phone/ Phone
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Parent Email address
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Elementary School
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